Organization · Type 2 NPI

Jackson Chiropractic Clinic PC

Chiropractor · Edmond, OK

NPI number 1073662680 Active

Practice location

3801 S Boulevard St
Edmond, OK 73013-5479

Fax (405) 340-3531

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3241 (OK)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1073662680

Jackson Chiropractic Clinic PC's National Provider Identifier is 1073662680, issued on Jan 10, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Edmond, OK. The record was last updated on Aug 22, 2020.